Senior Informatics Manager, Risk Adjustment Analytics Remote

CVS Health

Remote

Quick summary

Work type: Remote
Location: MAARIDTXGA
Salary: $67,900–$199,144 / yr
Posted: 3 days ago
Closes: Jul 9, 2026
Nearby: 36 roles within 25 mi

Market check

Salary context

Below market

How this pay compares to similar roles

Similar $196k

This role $134k

$48k most similar roles pay here $254k

This role pays less than 90% of similar roles. Most pay $162,168–$229,312 — the shaded band above. At the midpoint, this role pays about $134k versus about $196k for comparable roles.

Based on 240 similar postings.

Employer

About CVS Health

CVS Health is a leading American healthcare company operating retail pharmacies, pharmacy benefit management services, and a health insurance segment through Aetna, one of the nation''s largest health insurers. Industry: Healthcare & Pharmacy

CVS Health currently has 152 open roles on FindRole.

Listed pay typically runs $118,450–$260,590 across 149 roles with salary data.

Most-posted roles

View all roles at CVS Health

At a glance

TL;DR · Senior Informatics Manager, Risk Adjustment Analytics Remote

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CVS Health seeks a Senior Informatics Manager to lead its Risk Adjustment Analytics team in driving health plan performance through advanced data analysis. This role involves managing a small team to design and deliver analytics that interpret large healthcare datasets, translating findings into strategies for quality outcomes and financial performance. The position requires expertise in Google Cloud Platform (GCP)/Big Query, SQL, SAS, Python, and experience with Medicaid and CMS regulations. Key responsibilities include evaluating health plan performance, developing scalable reporting tools, and ensuring data accuracy while supporting compliance requirements. Ideal candidates have 8+ years of healthcare analytics experience, including leadership roles, and the ability to communicate complex findings effectively across various stakeholders.

Skills

Google Cloud Platform Big Query SQL SAS Python Tableau Power BI CI/CD Data Governance Automation Root Cause Analysis Data Visualization Risk Adjustment Methodologies CMS Compliance Medicaid Reporting

What you'll do

Lead and execute complex data analyses to drive health plan-level risk adjustment performance.
Design and deliver advanced analytics using medical, pharmacy claims, encounter, provider, and membership data.
Translate analytical findings into actionable insights for health plan strategies and decision-making.
Develop scalable reporting tools and dashboards for monitoring performance metrics.
Ensure compliance with CMS and state Medicaid regulatory requirements through accurate analysis.
Identify and implement process improvements through automation and advanced analytics techniques.

What we're looking for

At least 8 years of experience in healthcare analytics with claims and encounter data.
Minimum 2 years of leadership experience managing, coaching, or mentoring team members.
Expertise in Google Cloud Platform (GCP)/Big Query, SQL, SAS, Python, or similar languages.
Experience working with government-regulated healthcare programs like Medicaid and Medicare.
Proven ability to manage multiple projects and priorities in a fast-paced environment.
Strong skills in translating technical analyses into actionable business insights for stakeholders.

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